AI Article Synopsis

  • The study aimed to estimate how many women in Brazilian maternities associated with the Rede Cegonha had a full-time companion during childbirth, and to compare these figures across different regions of Brazil.
  • Over 10,000 women participated, revealing that 71.2% had a full-time companion, particularly those aged 20-35, brown-skinned, educated, and married; however, nearly 30% were without one.
  • There were notable disparities, especially in the Southeast and Midwest regions, where self-declared black women, those with lower education, and unmarried women were less likely to have companionship during delivery, highlighting ongoing social inequalities in access to this support.

Article Abstract

The objective was to estimate the proportion of women with a full-time companion in Brazilian maternities linked to the Rede Cegonha (RC) and to compare them between the macro-regions in Brazil. A nationwide study, carried out from December/2016 to October/2017. 10,665 puerperal women from all regions of Brazil participated in the study, who gave birth at one of 606 maternity hospitals with a regional action plan approved by RC. Proportions and respective 95% confidence intervals were estimated, adjusted for the cluster effect, by comparing the macro-regions using Wald's chi-square test. The presence of a full-time companion occurred in 71.2% of maternities, being higher among women aged 20-35 years, brown-skinned, with higher education, married, and assisted in vaginal delivery. Almost 30% of puerperal women did not have a full-time companion. In the Southeast and Midwest regions, self-declared black women, with less schooling and unmarried women were less accompanied. The moment of delivery had less presence of the companion (29.2%). Despite the advances, this right is still not fully fulfilled, pointing to the occurrence of social inequities among Brazilian macro-regions.

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http://dx.doi.org/10.1590/1413-81232022274.07462021DOI Listing

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